PAD Cancellation Request – Skyward Living Properties

Payer Details

Is there more than one bank account holder?*

Name*

First Last

Joint Account Holder Name*

First Last

What is your building address?*

Unit Number*

Phone*

Email*

Cancellation Details

You may revoke your authorization at any time, subject to providing thirty (30) days written notice. Cancellation of this authorization does not terminate your lease or any other obligation you have with the payee. For further information on your right to cancel a PAD Agreement, contact your financial institution or visit www.payments.ca.

Cancellation with 30 days Notice*

I, the payer, acknowledge that 30 days written notice is required to process my PAD cancellation request.

Authorization*

I, the payor, cancel my authorization to issue personal pre-authorized debits against my account number effective on the following date. I acknowledge that this cancellation does not terminate any other obligation that I may have with the Payee.

Cancellation Effective date*

(dd-mm-yyyy)

Administrative Fee*

I acknowledge there is a $25 administrative fee associated with forms of recurring payments other than PAD. (eg. monthly e-transfer, monthly debit, etc.) and am aware that this fee will be charged per transaction.

Acknowledge and Submit

Account Holder*

By clicking SUBMIT, I verify all account holder information entered to be correct and agree to all terms and conditions.

Joint Account Holder*

By clicking SUBMIT, I verify all information entered to be correct and agree to all terms and conditions.

Consent*

I agree to the following:

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Complete this form to request a cancellation of your Pre-authorized Debit (PAD) Agreement

Pre-Authorized Debit (PAD) Cancellation Request

Payer Details

Cancellation Details

Acknowledge and Submit